Cody W. Petrie, MD
NPI 1063919173ActiveIndividual· Emergency Medicine· Phoenix, AZ
Emergency Medicine (MD) in Phoenix, Arizona, trained at Loyola University of Chicago, Stritch School of Medicine (class of 2018). 153 Medicare patients in 2024, $28,928 paid; nearly all of their 145 Part D prescriptions were generic (99%). Impactortho, Inc. was the largest of 2 companies reporting payments in 2024, $56.97 in all, mostly food and beverage.
Overview
| NPI | 1063919173 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 6, 2018 |
| Last updated in NPPES | Dec 6, 2024 |
| Certified by provider | Dec 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 62021 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 153 |
|---|---|
| Services billed | 421 across 36 procedure codes |
| Paid by Medicare | $28,928 |
Part D prescriptions in 2024
| Prescriptions (claims) | 145 · 145 30-day fills |
|---|---|
| Patients | 82 |
| Total drug cost | $1,106 |
| Generic share | 99% of claims |
Education and affiliations
| Medical school | Loyola University of Chicago, Stritch School of Medicine |
|---|---|
| Graduation year | 2018 |
| Medicare specialty | Emergency Medicine |
Medical group
- Mayo Clinic ArizonaScottsdale, AZ · 1,626 clinicians
Hospital affiliation
- Mayo Clinic HospitalPhoenix, AZ
Industry payments (Open Payments)
- 2024$56.97 · 3 payments from 2 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Impactortho, Inc. | $34.62 | 2 |
| Djo, LLC | $22.35 | 1 |
What the 2024 payments were for
- Food and Beverage$56.97 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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